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      <div class="dclr"></div>
      <div>
        <div id="id_1">
          <p class="p0 ft0">
            <label for="date"><b>Date Assigned:</b></label>
            <input type="date" name="DateTechAssigned" id="DateTechAssigned" value="" />
          </p>
          <p class="p1 ft0">Proposal thru:</p>
          <p class="p2 ft0">FSO:</p>
          <p class="p3 ft0">Acct. No :</p>
          <p class="p4 ft3">From: Chardon Laboratories, Inc<span class="ft1">. </span><NOBR><span class="ft2">800-848-9526</span></NOBR></p>
          <p class="p5 ft1">7300 Tussing Rd. Reynoldsbug OH 43068</p>
          <p class="p6 ft4">Billing Address:</p>
          <p class="p7 ft5">Company:
            <input name="BILLNAME" value="" size="47" >
          </p>
          <p class="p8 ft5">Contact Name:
            <input name="BILLADDR1" value="" size="42">
          </p>
          <p class="p9 ft5">Address:
            <input name="BILLADDR2" value="" size="42">
          </p>
          <table cellpadding=0 cellspacing=0 class="t0">
            <tr>
              <td colspan=3 class="tr0 td0"><p class="p10 ft5">City:
                <input name="BILLCITY" value="" size="14" >
              </p></td>
              <td colspan=3 class="tr0 td3"><p class="p12 ft7">State:
                <input name="BILLSTATE" value="" size="4">
              </p></td>
              <td colspan=2 class="tr0 td5"><p class="p12 ft5">Zip:
                <input name="BILLZIP" value="" size="5">
              </p></td>
            </tr>
            <tr>
              <td class="tr1 td6"></td>
              <td class="tr2 td7"></td>
              <td class="tr2 td8"></td>
              <td class="tr2 td9"></td>
              <td class="tr2 td10"></td>
              <td class="tr2 td11"></td>
              <td class="tr1 td12"></td>
              <td class="tr1 td13"></td>
              <td class="tr1 td14"></td>
              <td class="tr2 td15"></td>
              <td class="tr1 td16"></td>
              <td class="tr2 td17"></td>
            </tr>
            <tr>
              <td colspan=4 class="tr3 td0"><p class="p13 ft5">County:
                <input name="BILLCOUNTY" value="">
              </p></td>
              <td class="tr3 td1"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=4 class="tr3 td18"><p class="p12 ft5">Email:
                <input name="BILLEMAIL" value="" size="11" >
              </p></td>
              <td class="tr3 td4"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td16"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td19"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=2 class="tr2 td1"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td20"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td1"></td>
              <td class="tr2 td2"></td>
              <td class="tr2 td12"></td>
              <td class="tr4 td21"></td>
              <td class="tr4 td22"></td>
              <td class="tr4 td15"></td>
              <td class="tr4 td23"></td>
              <td class="tr4 td17"></td>
            </tr>
            <tr>
              <td class="tr5 td6"></td>
              <td class="tr5 td24"></td>
              <td class="tr5 td25"></td>
              <td class="tr6 td9"></td>
              <td class="tr6 td10"></td>
              <td class="tr5 td2"><p class="p11 ft11">&nbsp;</p></td>
              <td colspan=3 rowspan=2 class="tr0 td3"><p class="p14 ft5">Fax:
                <input name="BILLFAX" value="" size="4">
              </p></td>
              <td class="tr5 td4"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td16"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td19"><p class="p11 ft11">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=4 class="tr7 td0"><p class="p13 ft5">Phone:
                <input name="PHONE" value="" size="4">
              </p></td>
              <td class="tr7 td1"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td4"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td16"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td19"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=2 class="tr2 td1"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr4 td26"></td>
              <td class="tr4 td10"></td>
              <td class="tr4 td11"></td>
              <td colspan=2 class="tr2 td27"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=3 class="tr4 td28"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td17"><p class="p11 ft10">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=4 class="tr8 td0"><p class="p11 ft5">Tax Exempt:</p></td>
              <td class="tr8 td1"><p class="p11 ft5">Yes</p></td>
              <td colspan=7 class="tr8 td29"><p class="p15 ft5">No Purchase Order:</p></td>
            </tr>
          </table>
          <p class="p16 ft13">If YES, certificate must be attached</p>
          <p class="p17 ft14"><span class="ft4">Service Address:</span></p>
          <p class="p18 ft5">Company:
            <input name="SHIPNAME" value="" size="47" >
          </p>
          <p class="p18 ft5">Contact Name:
            <input name="SHIPADDR1" value="" size="42">
          </p>
          <p class="p16 ft5">Address:
            <input name="SHIPADDR2" value="" size="42">
          </p>
          <table cellpadding=0 cellspacing=0 class="t0">
            <tr>
              <td colspan=3 class="tr0 td0"><p class="p10 ft5">City:
                <input name="SHIPCITY" value="" size="14" >
              </p></td>
              <td colspan=3 class="tr0 td3"><p class="p12 ft7">State:
                <input name="SHIPSTATE" value="" size="4">
              </p></td>
              <td colspan=2 class="tr0 td5"><p class="p12 ft5">Zip:
                <input name="SHIPZIP" value="" size="5">
              </p></td>
            </tr>
            <tr>
              <td class="tr1 td6"></td>
              <td class="tr2 td7"></td>
              <td class="tr2 td8"></td>
              <td class="tr2 td9"></td>
              <td class="tr2 td10"></td>
              <td class="tr2 td11"></td>
              <td class="tr1 td12"></td>
              <td class="tr1 td13"></td>
              <td class="tr1 td14"></td>
              <td class="tr2 td15"></td>
              <td class="tr1 td16"></td>
              <td class="tr2 td17"></td>
            </tr>
            <tr>
              <td colspan=4 class="tr3 td0"><p class="p13 ft5">County:
                <input name="SHIPCOUNTY" value="">
              </p></td>
              <td class="tr3 td1"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=4 class="tr3 td18"><p class="p12 ft5">Email:
                <input name="SHIPEMAIL" value="" size="11" >
              </p></td>
              <td class="tr3 td4"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td16"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td19"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=2 class="tr2 td1"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td20"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td1"></td>
              <td class="tr2 td2"></td>
              <td class="tr2 td12"></td>
              <td class="tr4 td21"></td>
              <td class="tr4 td22"></td>
              <td class="tr4 td15"></td>
              <td class="tr4 td23"></td>
              <td class="tr4 td17"></td>
            </tr>
            <tr>
              <td class="tr5 td6"></td>
              <td class="tr5 td24"></td>
              <td class="tr5 td25"></td>
              <td class="tr6 td9"></td>
              <td class="tr6 td10"></td>
              <td class="tr5 td2"></td>
              <td colspan=3 rowspan=2 class="tr0 td3">&nbsp;</td>
              <td class="tr5 td4"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td16"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td19"><p class="p11 ft11">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=4 class="tr7 td0"><p class="p13 ft5">Phone:
                <input name="PHONE" value="" size="4">
              </p></td>
              <td class="tr7 td1"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td4"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td16"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td19"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=2 class="tr2 td1"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr4 td26"></td>
              <td class="tr4 td10"></td>
              <td class="tr4 td11"></td>
              <td colspan=2 class="tr2 td27"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=3 class="tr4 td28"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td17"></td>
            </tr>
            <tr>
              <td colspan=4 class="tr8 td0"><p class="p11 ft5">Tax Exempt:</p></td>
              <td class="tr8 td1"><p class="p11 ft5">Yes</p></td>
              <td colspan=7 class="tr8 td29"><p class="p15 ft5">No Purchase Order:</p></td>
            </tr>
          </table>
          <p class="p20 ft16">Duration of Agreement:</p>
          <p class="p21 ft17">This master service agreement shall become effective on</p>
          <p class="p22 ft0">and shall continue on a month to month basis. Please read all pages.</p>
          <p class="p23 ft5">Customer Signature:</p>
          <p class="p24 ft5">Print Name:</p>
          <table cellpadding=0 cellspacing=0 class="t2">
            <tr>
              <td class="tr0 td43"><p class="p11 ft5">Title:</p></td>
              <td class="tr0 td44"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr0 td27"><p class="p14 ft7">Date:</p></td>
            </tr>
            <tr>
              <td class="tr2 td43"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr4 td45"></td>
              <td class="tr2 td27"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
          </table>
          <p class="p25 ft2"><NOBR>01-SAFM-03-011,</NOBR> Rev. 3</p>
        </div>
        <div id="id_2">
          <table cellpadding=0 cellspacing=0 class="t3">
            <tr>
              <td colspan=12 class="tr10 td46"><p class="p11 ft19">Service Schedules Included in this Agreement <span class="ft18">(Checked):</span></p></td>
              <td class="tr10 td25"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr10 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr10 td47"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td48"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td49"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td49"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td50"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=3 class="tr11 td51"><p class="p12 ft5"> <a href="index.html" onClick="">Back</a> </td>
            </tr>
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              <td class="tr1 td22"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td11"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td52"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td35"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td11"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td52"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td53"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td11"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td52"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td53"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td11"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td52"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td8"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td11"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td54"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td53"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td55"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td55"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td56"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td26"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td42"><p class="p11 ft8">&nbsp;</p></td>
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              <td class="tr0 td58"><p class="p11 ft6">&nbsp;</p></td>
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              <td class="tr13 td70"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td71"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td60"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td39"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 rowspan=3 class="tr14 td72"><p class="p26 ft21">
                <input type="checkbox" name="input" value="">
                Boiler, Return Line,</p></td>
              <td colspan=3 rowspan=3 class="tr14 td73"><p class="p27 ft21">
                <input type="checkbox" name="input" value="">
                Closed Systems and</p></td>
              <td class="tr13 td74"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td71"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td60"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td25"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 rowspan=3 class="tr14 td60"><p class="p28 ft21">
                <input type="checkbox" name="input" value="">
                Chemical</p></td>
              <td class="tr13 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr13 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=3 rowspan=2 class="tr15 td76"><p class="p11 ft0">
                <input type="checkbox" name="input" value="">
                Date Amendment</p></td>
              <td class="tr13 td57"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr16 td77"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr17 td72"><p class="p26 ft21">
                <input type="checkbox" name="input" value="">
                Cooling Tower</p></td>
              <td class="tr16 td39"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr16 td78"><p class="p11 ft6">&nbsp;
                <input type="checkbox" name="input" value="">
              </p></td>
              <td colspan=2 rowspan=2 class="tr17 td72"><p class="p29 ft21">Guarantee Policy</p></td>
              <td class="tr16 td25"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr16 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr16 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr16 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr16 td57"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td77"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td39"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td78"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td25"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td2"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td75"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td75"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td79"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr18 td60"><p class="p28 ft21">effective</p></td>
              <td class="tr1 td57"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr2 td77"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr19 td72"><p class="p26 ft21">Comfort Process</p></td>
              <td class="tr2 td39"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr19 td72"><p class="p30 ft21">Process & Comfort</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr19 td72"><p class="p26 ft21">Hot Water Boilers</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr19 td72"><p class="p29 ft21">Schedule 19</p></td>
              <td class="tr2 td25"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=3 rowspan=2 class="tr19 td72"><p class="p26 ft17">Containment</p></td>
              <td class="tr2 td75"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td75"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td79"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td57"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr2 td77"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td39"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td25"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td75"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td80"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr4 td81"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td82"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr2 td69"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td57"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr2 td77"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr20 td72"><p class="p26 ft21">Schedule 12</p></td>
              <td class="tr2 td39"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr20 td72"><p class="p30 ft21">Schedule 13</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr20 td72"><p class="p30 ft21">Schedule 14</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td2"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td60"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td25"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td2"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 rowspan=2 class="tr20 td60"><p class="p28 ft0">Option</p></td>
              <td colspan=2 class="tr2 td65"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr4 td83"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr2 td69"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td57"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr21 td77"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td39"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td78"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td78"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td2"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td60"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td25"><p class="p11 ft22">&nbsp;</p></td>
              <td class="tr21 td2"><p class="p11 ft22">&nbsp;</p></td>
              <td colspan=5 class="tr21 td84"><p class="p31 ft23">Appropriate Schedules attached</p></td>
              <td class="tr21 td57"><p class="p11 ft22">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr9 td85"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td11"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td86"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td35"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td11"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td86"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td53"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td11"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td86"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td53"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td11"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td86"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td8"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td11"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td54"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td87"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td55"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td55"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td56"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td26"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td88"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr4 td57"><p class="p11 ft10">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr20 td14"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=5 class="tr20 td89"><p class="p14 ft24">Payment Options:</p></td>
              <td class="tr20 td78"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr20 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr20 td90"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr20 td78"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr20 td2"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr20 td90"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr20 td25"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=9 class="tr20 td91"><p class="p32 ft25">NOTE: These schedules contain a detailed</p></td>
            </tr>
            <tr>
              <td class="tr22 td14"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td2"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td90"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td39"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td2"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td90"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td78"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td2"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td90"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td78"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td2"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td90"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td25"><p class="p11 ft26">&nbsp;</p></td>
              <td class="tr22 td2"><p class="p11 ft26">&nbsp;</p></td>
              <td colspan=8 class="tr22 td92"><p class="p32 ft27">explanation of services offered.</p></td>
            </tr>
          </table>
          <p class="p33 ft7"><span class="ft5">
            <input type="checkbox" name="input" value="">
            Seasonal Plan </span>(Billed service months only)</p>
          <p class="p34 ft7"><span class="ft5">
            <input type="checkbox" name="input" value="">
            Budget Plan </span>(12 monthly payments)</p>
          <p class="p34 ft7"><span class="ft5">
            <input type="checkbox" name="input" value="">
            Quarterly </span></p>
          <p class="p34 ft0"><span class="ft5">
            <input type="checkbox" name="input" value="">
            Cash Discount Plan </span>(2.5% discount on payment up front. Upfront price reflects discount.)</p>
          <p class="p36 ft4">Chardon Laboratories, Inc.</p>
          <p class="p37 ft5">Name:</p>
          <p class="p38 ft5">Signature:</p>
          <table cellpadding=0 cellspacing=0 class="t4">
            <tr>
              <td class="tr8 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=4 class="tr8 td93"><p class="p11 ft5">Title:</p></td>
              <td class="tr8 td94"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td94"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td95"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td78"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr8 td97"><p class="p11 ft5">Date:</p></td>
              <td class="tr8 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td25"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td75"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td99"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr2 td100"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td37"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td101"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td102"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td102"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td103"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td104"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td105"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr1 td78"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td34"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr2 td9"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td106"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr1 td25"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr23 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=4 class="tr23 td93"><p class="p11 ft5">Approval Signature:</p></td>
              <td class="tr23 td94"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr23 td94"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr23 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr23 td95"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr23 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr23 td78"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr23 td97"><p class="p11 ft5">Date:</p></td>
              <td class="tr23 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr23 td25"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr2 td75"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td107"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td32"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr4 td101"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td102"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td102"><p class="p11 ft10">&nbsp;</p></td>
              <td colspan=2 class="tr4 td108"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td105"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr2 td78"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td34"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr4 td9"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr4 td106"><p class="p11 ft10">&nbsp;</p></td>
              <td class="tr2 td25"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td colspan=10 class="tr24 td109"><p class="p11 ft19">Scope of Costs and Scheduled Service Visits:</p></td>
              <td class="tr24 td78"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td110"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td25"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr8 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td99"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr8 td111"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=5 class="tr0 td112"><p class="p39 ft5">Check Applicable Schedules</p></td>
              <td class="tr0 td113"><p class="p11 ft6">&nbsp;</p></td>
              <td rowspan=2 class="tr25 td114"><p class="p40 ft5">Number of</p></td>
              <td class="tr0 td115"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr0 td116"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr0 td117"><p class="p41 ft16">Invoice Amount</p></td>
              <td class="tr0 td118"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr5 td75"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td99"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td111"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr6 td37"><p class="p11 ft12">&nbsp;</p></td>
              <td class="tr6 td101"><p class="p11 ft12">&nbsp;</p></td>
              <td class="tr6 td102"><p class="p11 ft12">&nbsp;</p></td>
              <td class="tr6 td102"><p class="p11 ft12">&nbsp;</p></td>
              <td class="tr6 td103"><p class="p11 ft12">&nbsp;</p></td>
              <td class="tr5 td119"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td78"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td34"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td110"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td98"><p class="p11 ft11">&nbsp;</p></td>
              <td class="tr5 td120"><p class="p11 ft11">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr11 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td99"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td111"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr11 td94"><p class="p42 ft5">12</p></td>
              <td class="tr11 td94"><p class="p42 ft5">13</p></td>
              <td class="tr11 td94"><p class="p42 ft5">14</p></td>
              <td class="tr11 td18"><p class="p43 ft5">Other</p></td>
              <td class="tr11 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr11 td96"><p class="p44 ft5">Visits</p></td>
              <td class="tr11 td78"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr11 td97"><p class="p45 ft5">First Year</p></td>
              <td class="tr11 td98"><p class="p46 ft7">Second Year</p></td>
              <td class="tr11 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr4 td75"><p class="p11 ft10">&nbsp;</p></td>
              <td colspan=2 class="tr9 td121"><p class="p11 ft15">&nbsp;</p></td>
              <td colspan=2 class="tr9 td102"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td102"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td102"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td103"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td122"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td105"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td53"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td123"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td9"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td106"><p class="p11 ft15">&nbsp;</p></td>
              <td class="tr9 td124"><p class="p11 ft15">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr7 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr7 td125"><p class="p47 ft5">January</p></td>
              <td colspan=2 class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr12 td80"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr1 td121"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td103"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td122"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td105"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td87"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td123"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td129"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td106"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td124"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr7 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr7 td125"><p class="p47 ft5">February</p></td>
              <td colspan=2 class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr21 td80"><p class="p11 ft22">&nbsp;</p></td>
              <td colspan=2 class="tr12 td121"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr12 td128"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td128"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td128"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td103"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td122"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td105"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td87"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td123"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td129"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td106"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td124"><p class="p11 ft20">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr7 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr7 td125"><p class="p13 ft5">March</p></td>
              <td colspan=2 class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr12 td80"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr1 td121"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td103"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td122"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td105"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td87"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td123"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td129"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td106"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td124"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr20 td80"><p class="p11 ft28">&nbsp;</p></td>
              <td colspan=2 class="tr20 td125"><p class="p13 ft29">April</p></td>
              <td colspan=2 class="tr20 td126"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td126"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td126"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td18"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td119"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td96"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td65"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td34"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td127"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td98"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td120"><p class="p11 ft28">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr21 td80"><p class="p11 ft22">&nbsp;</p></td>
              <td colspan=2 class="tr12 td121"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr12 td128"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td128"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td128"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td103"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td122"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td105"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td87"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td123"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td129"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td106"><p class="p11 ft20">&nbsp;</p></td>
              <td class="tr12 td124"><p class="p11 ft20">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr20 td80"><p class="p11 ft28">&nbsp;</p></td>
              <td colspan=2 class="tr20 td125"><p class="p47 ft29">May</p></td>
              <td colspan=2 class="tr20 td126"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td126"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td126"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td18"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td119"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td96"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td65"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td34"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td127"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td98"><p class="p11 ft28">&nbsp;</p></td>
              <td class="tr20 td120"><p class="p11 ft28">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr12 td80"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr1 td121"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td103"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td122"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td105"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td87"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td123"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td129"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td106"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td124"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr3 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr3 td125"><p class="p47 ft5">June</p></td>
              <td colspan=2 class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr12 td80"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr1 td121"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td103"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td122"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td105"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td87"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td123"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td129"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td106"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td124"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr3 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr3 td125"><p class="p13 ft5">July</p></td>
              <td colspan=2 class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td80"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr2 td121"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td103"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td122"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td105"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td87"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td123"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td129"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td106"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td124"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr7 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr7 td125"><p class="p13 ft5">August</p></td>
              <td colspan=2 class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td80"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr2 td121"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td103"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td122"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td105"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td87"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td123"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td129"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td106"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td124"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr7 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr7 td125"><p class="p47 ft5">September</p></td>
              <td colspan=2 class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr12 td80"><p class="p11 ft20">&nbsp;</p></td>
              <td colspan=2 class="tr1 td121"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td128"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td103"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td122"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td105"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td87"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td123"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td129"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td106"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr1 td124"><p class="p11 ft8">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr3 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr3 td125"><p class="p47 ft5">October</p></td>
              <td colspan=2 class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr3 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td80"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr2 td121"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td103"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td122"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td105"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td87"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td123"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td129"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td106"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td124"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr26 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr26 td125"><p class="p13 ft5">November</p></td>
              <td colspan=2 class="tr26 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr26 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td80"><p class="p11 ft8">&nbsp;</p></td>
              <td colspan=2 class="tr2 td121"><p class="p11 ft9">&nbsp;</p></td>
              <td colspan=2 class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td103"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td122"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td105"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td87"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td123"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td129"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td106"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td124"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr7 td80"><p class="p11 ft6">&nbsp;</p></td>
              <td colspan=2 class="tr7 td125"><p class="p13 ft5">December</p></td>
              <td colspan=2 class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td18"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr7 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr1 td80"><p class="p11 ft8">&nbsp;</p></td>
              <td class="tr2 td130"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td131"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td37"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td132"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td128"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td103"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td122"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td105"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td87"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td123"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td129"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td106"><p class="p11 ft9">&nbsp;</p></td>
              <td class="tr2 td124"><p class="p11 ft9">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr24 td75"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td99"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td133"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td32"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td134"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td94"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td126"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td18"><p class="p48 ft7">TOTAL</p></td>
              <td class="tr24 td119"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td96"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td65"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td34"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td127"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td98"><p class="p11 ft6">&nbsp;</p></td>
              <td class="tr24 td120"><p class="p11 ft6">&nbsp;</p></td>
            </tr>
            <tr>
              <td class="tr27 td75"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr27 td99"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr27 td133"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr27 td32"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr27 td134"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr27 td94"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr27 td126"><p class="p11 ft30">&nbsp;</p></td>
              <td class="tr18 td103"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td122"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td105"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td87"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td123"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td129"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td106"><p class="p11 ft31">&nbsp;</p></td>
              <td class="tr18 td124"><p class="p11 ft31">&nbsp;</p></td>
            </tr>
          </table>
          <p class="p49 ft32"><a href="../index.html" onClick="">Submit Form</a></p>
          <p class="p49 ft32">2012 Chardon Laboratories, Inc. All Rights Reserved.</p>
        </div>
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